Champagne, Laura R
Champagne, Laura R is an individual health care provider with primary practice located at 685 S Dobson Rd , Chandler AZ 85224-5665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Champagne, Laura R can be contacted via phone (480) 821-2838.Contact Information
Primary practice address
685 S Dobson Rd
Chandler AZ 85224-5665
Phone: (480) 821-2838
Fax: (480) 821-9444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32254 | Arizona |
Profile Details
| NPI number | 1194781344 |
|---|---|
| LBN Legal business name | Champagne, Laura R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Nov 16th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194781344 | NPPES |
| Arizona | MEDICAID | 847121 |
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